{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:19:27Z","timestamp":1787771967718,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,7,8]],"date-time":"2017-07-08T00:00:00Z","timestamp":1499472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>The relationship between anorexia nervosa and celiac disease remains an area of ongoing research. Identification of celiac disease in patients with restricted nutritional intake can be challenging since abdominal complaints are a common comorbidity associated with eating disorders and since diagnosis of celiac disease requires a duodenal biopsy while on a gluten containing diet. In this report, we present a 12-year-old female who developed anorexia nervosa and was thereafter diagnosed with celiac disease. The latter diagnosis occurred after a 2-year period of persistent abdominal complaints and duodenal biopsies on three separate occasions. Our case highlights the diagnostic challenge, which may include initially missing the diagnosis, associated with celiac disease in patients who are restricting their nutritional intake, and also the importance of re-testing in patients where gastrointestinal complaints are persistent for extended time periods after refeeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijpam.2017.09.001","type":"journal-article","created":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T23:36:00Z","timestamp":1513726560000},"page":"144-146","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Celiac disease and anorexia nervosa"],"prefix":"10.4103","volume":"4","author":[{"given":"Emilie L.","family":"Deschner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janice L.","family":"Barkey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan E.","family":"Harrison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240319","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1038\/ajg.2013.79","article-title":"ACG clinical guidelines: diagnosis and management of celiac disease","volume":"108","author":"Rubio-Tapia","year":"2013","journal-title":"Am J Gastroenterol"},{"key":"R2-5-20240319","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1007\/s00431-012-1714-8","article-title":"Clinical practice","volume":"171","author":"Kneepkens","year":"2012","journal-title":"Eur J Pediatr"},{"key":"R3-5-20240319","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1111\/j.1365-2036.2009.04110.x","article-title":"Meta-analysis: deamidated gliadin peptide antibody and tissue transglutaminase antibody compared as screening tests for coeliac disease","volume":"31","author":"Lewis","year":"2010","journal-title":"Aliment Pharmacol Ther"},{"key":"R5-5-20240319","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1111\/j.1365-2796.2011.02380.x","article-title":"What is the use of biopsy and antibodies in coeliac disease diagnosis?","volume":"269","author":"Evans","year":"2011","journal-title":"J Intern Med"},{"key":"R6-5-20240319","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1002\/eat.22462","article-title":"Gastrointestinal complications associated with anorexia nervosa: a systematic review","volume":"49","author":"Norris","year":"2016","journal-title":"Int J Eat Disord"},{"key":"R7-5-20240319","first-page":"577","article-title":"Functional gastrointestinal disorders and eating disorders","volume":"33","author":"Porcelli","year":"1998","journal-title":"Relevance of the association in clinical management. Scand J Gastroenterol"},{"key":"R8-5-20240319","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1097\/MEG.0b013e328012db37","article-title":"The interaction between eating disorders and celiac disease: an exploration of 10 cases","volume":"19","author":"Leffler","year":"2007","journal-title":"Eur J Gastroenterology Hepatology"},{"key":"R9-5-20240319","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1002\/(SICI)1098-108X(200001)27:1<119::AID-EAT16>3.0.CO;2-R","article-title":"Anorexia nervosa and celiac disease: two case reports","volume":"27","author":"Ricca","year":"1998","journal-title":"Int J Eat Disord"},{"key":"R10-5-20240319","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1176\/appi.psy.49.5.399","article-title":"Eating pathology in adolescents with celiac disease","volume":"49","author":"Karwautz","year":"2008","journal-title":"Psychosomatics"},{"key":"R11-5-20240319","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1007\/s00431-012-1864-8","article-title":"Is screening for celiac disease useful in anorexia nervosa?","volume":"172","author":"Basso","year":"2013","journal-title":"Eur J Pediatr"},{"key":"R12-5-20240319","doi-asserted-by":"crossref","first-page":"e20164367","DOI":"10.1542\/peds.2016-4367","article-title":"Celiac disease and anorexia nervosa: a nationwide study","volume":"139","author":"Marild","year":"2017","journal-title":"Pediatrics"},{"key":"R14-5-20240319","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1053\/j.gastro.2005.02.015","article-title":"Clinical presentation of celiac disease in the pediatric population","volume":"128","author":"Fasano","year":"2005","journal-title":"Gastroenterology"}],"container-title":["International Journal of Pediatrics and Adolescent Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352646717301187?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352646717301187?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/01863514-201704040-00005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:22:43Z","timestamp":1787768563000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01863514-201704040-00005"}},"subtitle":["a case report"],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijpam.2017.09.001","relation":{},"ISSN":["2352-6467"],"issn-type":[{"value":"2352-6467","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Celiac disease and anorexia nervosa: a case report","name":"articletitle","label":"Article Title"},{"value":"International Journal of Pediatrics and Adolescent Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijpam.2017.09.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Publishing services provided by Elsevier B.V. on behalf of King Faisal Specialist Hospital & Research Centre (General Organization), Saudi Arabia.","name":"copyright","label":"Copyright"}]}}